DE69623278D1 - HEART PACEMAKER SYSTEM FOR DETERMINING A MEASUREMENT OF THE THRESHOLD VALUE WITHOUT LOSSING THE EFFECTIVENESS OF THE STIMULATION - Google Patents

HEART PACEMAKER SYSTEM FOR DETERMINING A MEASUREMENT OF THE THRESHOLD VALUE WITHOUT LOSSING THE EFFECTIVENESS OF THE STIMULATION

Info

Publication number
DE69623278D1
DE69623278D1 DE69623278T DE69623278T DE69623278D1 DE 69623278 D1 DE69623278 D1 DE 69623278D1 DE 69623278 T DE69623278 T DE 69623278T DE 69623278 T DE69623278 T DE 69623278T DE 69623278 D1 DE69623278 D1 DE 69623278D1
Authority
DE
Germany
Prior art keywords
lossing
stimulation
effectiveness
measurement
determining
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
DE69623278T
Other languages
German (de)
Other versions
DE69623278T2 (en
Inventor
Krieken M Van
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Vitatron Medical BV
Original Assignee
Vitatron Medical BV
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Vitatron Medical BV filed Critical Vitatron Medical BV
Publication of DE69623278D1 publication Critical patent/DE69623278D1/en
Application granted granted Critical
Publication of DE69623278T2 publication Critical patent/DE69623278T2/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/37Monitoring; Protecting
    • A61N1/371Capture, i.e. successful stimulation
    • A61N1/3712Auto-capture, i.e. automatic adjustment of the stimulation threshold
DE69623278T 1995-05-22 1996-05-22 HEART PACEMAKER SYSTEM FOR DETERMINING A MEASUREMENT OF THE THRESHOLD VALUE WITHOUT LOSSING THE EFFECTIVENESS OF THE STIMULATION Expired - Lifetime DE69623278T2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US08/445,667 US5674254A (en) 1995-05-22 1995-05-22 Cardiac pacemaker system and method for determining a measure of pacing threshold without incurring loss of capture
PCT/EP1996/002205 WO1996037257A1 (en) 1995-05-22 1996-05-22 Cardiac pacemaker system and method for determining a measure of pacing threshold without incurring loss of capture

Publications (2)

Publication Number Publication Date
DE69623278D1 true DE69623278D1 (en) 2002-10-02
DE69623278T2 DE69623278T2 (en) 2003-04-17

Family

ID=23769771

Family Applications (1)

Application Number Title Priority Date Filing Date
DE69623278T Expired - Lifetime DE69623278T2 (en) 1995-05-22 1996-05-22 HEART PACEMAKER SYSTEM FOR DETERMINING A MEASUREMENT OF THE THRESHOLD VALUE WITHOUT LOSSING THE EFFECTIVENESS OF THE STIMULATION

Country Status (6)

Country Link
US (1) US5674254A (en)
EP (1) EP0828531B1 (en)
JP (1) JP3847342B2 (en)
AU (1) AU5820096A (en)
DE (1) DE69623278T2 (en)
WO (1) WO1996037257A1 (en)

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US5766229A (en) * 1996-04-15 1998-06-16 Pacesetter, Inc. Capture verification method and apparatus for implantable pacemaker utilizing heart rhythm stability measurements to minimize the likelihood of fusion
US6216037B1 (en) * 1999-01-29 2001-04-10 Medtronic Inc, Pacemaker system with simplified atrial capture detection based on QT interval
SE0001113D0 (en) * 2000-03-29 2000-03-29 Pacesetter Ab Implantable heart stimulator
US6473647B1 (en) * 2000-10-18 2002-10-29 Pacesetter, Inc. Implantable cardiac stimulation device for and method of monitoring progression or regression of heart disease by monitoring evoked response features
US6611712B2 (en) 2000-12-26 2003-08-26 Cardiac Pacemakers, Inc. Apparatus and method for testing and adjusting a bipolar stimulation configuration
AR035858A1 (en) * 2001-04-23 2004-07-21 Bayer Corp CHROME DERIVATIVES 2,6-SUBSTITUTES, PHARMACEUTICAL COMPOSITIONS, USE OF SUCH DERIVATIVES FOR THE MANUFACTURE OF USEFUL MEDICINES AS BETA-3 ADRENORRECEPTING AGONISTS
DE10129649A1 (en) 2001-06-14 2002-12-19 Biotronik Mess & Therapieg stimulation device
US7177689B2 (en) 2001-10-26 2007-02-13 Cardiac Pacemakers, Inc. Method and apparatus for capture verification and threshold determination
US7113823B2 (en) * 2001-10-26 2006-09-26 Cardiac Pacemakers, Inc. Morphology-based optimization of cardiac resynchronization therapy
US7286876B2 (en) * 2001-10-26 2007-10-23 Cardiac Pacemakers, Inc. Template-based capture verification for multi-site pacing
US6625490B1 (en) 2001-11-14 2003-09-23 Pacesetter, Inc. System and method of automatically adjusting sensing parameters based on temporal measurement of cardiac events
US6650931B1 (en) 2001-11-14 2003-11-18 Pacesetter, Inc. System and method of automatically determining the onsets and ends of cardiac events and far-field signals
US8509897B2 (en) * 2002-09-19 2013-08-13 Cardiac Pacemakers, Inc. Morphology-based diagnostic monitoring of electrograms by implantable cardiac device
DE10250996A1 (en) * 2002-10-30 2004-05-13 Biotronik Meß- und Therapiegeräte GmbH & Co. Ingenieurbüro Berlin Stimulation device with stimulation success control
US7558626B2 (en) * 2003-04-23 2009-07-07 Medtronic, Inc. Cardiac resynchronization via left ventricular pacing
US7930026B2 (en) * 2003-04-25 2011-04-19 Medtronic, Inc. Monitoring QRS complex to identify left ventricular dysfunction
US20040215276A1 (en) * 2003-04-25 2004-10-28 Patrick Scholten Form analysis to detect evoked response
US7130690B2 (en) * 2003-07-23 2006-10-31 Medtronic, Inc. Atrial capture management during atrial and ventricular pacing
US20060247693A1 (en) 2005-04-28 2006-11-02 Yanting Dong Non-captured intrinsic discrimination in cardiac pacing response classification
US8521284B2 (en) 2003-12-12 2013-08-27 Cardiac Pacemakers, Inc. Cardiac response classification using multisite sensing and pacing
US7774064B2 (en) 2003-12-12 2010-08-10 Cardiac Pacemakers, Inc. Cardiac response classification using retriggerable classification windows
US7412287B2 (en) * 2003-12-22 2008-08-12 Cardiac Pacemakers, Inc. Automatic sensing vector selection for morphology-based capture verification
JP2007525270A (en) * 2004-02-27 2007-09-06 コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ Staged life-and-death arrhythmia detection algorithm to minimize power consumption
US7706866B2 (en) 2004-06-24 2010-04-27 Cardiac Pacemakers, Inc. Automatic orientation determination for ECG measurements using multiple electrodes
US7890159B2 (en) 2004-09-30 2011-02-15 Cardiac Pacemakers, Inc. Cardiac activation sequence monitoring and tracking
US7457664B2 (en) * 2005-05-09 2008-11-25 Cardiac Pacemakers, Inc. Closed loop cardiac resynchronization therapy using cardiac activation sequence information
US7797036B2 (en) 2004-11-30 2010-09-14 Cardiac Pacemakers, Inc. Cardiac activation sequence monitoring for ischemia detection
US7805185B2 (en) 2005-05-09 2010-09-28 Cardiac Pacemakers, In. Posture monitoring using cardiac activation sequences
US7647108B2 (en) * 2004-09-30 2010-01-12 Cardiac Pacemakers, Inc. Methods and systems for selection of cardiac pacing electrode configurations
US7917196B2 (en) 2005-05-09 2011-03-29 Cardiac Pacemakers, Inc. Arrhythmia discrimination using electrocardiograms sensed from multiple implanted electrodes
US7509170B2 (en) 2005-05-09 2009-03-24 Cardiac Pacemakers, Inc. Automatic capture verification using electrocardiograms sensed from multiple implanted electrodes
US7555340B2 (en) * 2005-04-01 2009-06-30 Cardiac Pacemakers, Inc. Electrogram morphology-based CRT optimization
US7392086B2 (en) 2005-04-26 2008-06-24 Cardiac Pacemakers, Inc. Implantable cardiac device and method for reduced phrenic nerve stimulation
US7574260B2 (en) 2005-04-28 2009-08-11 Cardiac Pacemakers, Inc. Adaptive windowing for cardiac waveform discrimination
US7634316B2 (en) 2005-04-28 2009-12-15 Imperception, Inc. Method and apparatus for validating a pacing train associated with T-shock delivery
US7551958B2 (en) 2005-05-24 2009-06-23 Cardiac Pacemakers, Inc. Safety control system for implantable neural stimulator
US8260407B1 (en) * 2005-09-12 2012-09-04 Pacesetter, Inc. Intracardiac device and method for storing cardiac test results and associated EGM data
US8527048B2 (en) 2006-06-29 2013-09-03 Cardiac Pacemakers, Inc. Local and non-local sensing for cardiac pacing
US7580741B2 (en) 2006-08-18 2009-08-25 Cardiac Pacemakers, Inc. Method and device for determination of arrhythmia rate zone thresholds using a probability function
US8209013B2 (en) 2006-09-14 2012-06-26 Cardiac Pacemakers, Inc. Therapeutic electrical stimulation that avoids undesirable activation
US8712507B2 (en) 2006-09-14 2014-04-29 Cardiac Pacemakers, Inc. Systems and methods for arranging and labeling cardiac episodes
US8948867B2 (en) 2006-09-14 2015-02-03 Cardiac Pacemakers, Inc. Capture detection with cross chamber backup pacing
US7941208B2 (en) 2006-11-29 2011-05-10 Cardiac Pacemakers, Inc. Therapy delivery for identified tachyarrhythmia episode types
US8265736B2 (en) 2007-08-07 2012-09-11 Cardiac Pacemakers, Inc. Method and apparatus to perform electrode combination selection
US9037239B2 (en) 2007-08-07 2015-05-19 Cardiac Pacemakers, Inc. Method and apparatus to perform electrode combination selection
AU2009214920B2 (en) 2008-02-14 2012-02-09 Cardiac Pacemakers, Inc. Method and apparatus for phrenic stimulation detection
WO2010042364A2 (en) 2008-10-06 2010-04-15 Cardiac Pacemakers, Inc. Dynamic cardiac resynchronization therapy by tracking intrinsic conduction
US9020596B2 (en) 2011-07-15 2015-04-28 Cardiac Pacemakers, Inc. Management of fusion beat detection during capture threshold determination

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US4305396A (en) * 1979-04-16 1981-12-15 Vitatron Medical B.V. Rate adaptive pacemaker and method of cardiac pacing
US4665919A (en) * 1983-03-14 1987-05-19 Vitafin N.V. Pacemaker with switchable circuits and method of operation of same
US5065759A (en) * 1990-08-30 1991-11-19 Vitatron Medical B.V. Pacemaker with optimized rate responsiveness and method of rate control
US5176138A (en) * 1991-03-21 1993-01-05 Siemens Pacesetter, Inc. Implantable pacemaker having means for automatically adjusting stimulation energy as a function of sensed so2
FR2680093B1 (en) * 1991-08-09 1993-10-29 Ela Medical METHOD FOR CONTROLLING THE STIMULATION ENERGY IN A HEART STIMULATOR.
US5350410A (en) * 1992-11-23 1994-09-27 Siemens Pacesetter, Inc. Autocapture system for implantable pulse generator
US5413592A (en) * 1993-03-26 1995-05-09 Intermedics, Inc. Cardiac pacemaker with automatic parameter adjustment
US5391192A (en) * 1994-03-04 1995-02-21 Telectronics Pacing Systems, Inc. Automatic ventricular pacing pulse threshold determination utilizing an external programmer and a surface electrocardiogram
US5476487A (en) * 1994-12-28 1995-12-19 Pacesetter, Inc. Autothreshold assessment in an implantable pacemaker

Also Published As

Publication number Publication date
JPH11505165A (en) 1999-05-18
WO1996037257A1 (en) 1996-11-28
US5674254A (en) 1997-10-07
EP0828531A1 (en) 1998-03-18
AU5820096A (en) 1996-12-11
JP3847342B2 (en) 2006-11-22
EP0828531B1 (en) 2002-08-28
DE69623278T2 (en) 2003-04-17

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